MICAH TERA GROEBNER - Pharmacist License in Illinois | # 049256874

MICAH TERA GROEBNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256874

License Status

NOT RENEWED

Business

N

First Name

MICAH

Middle

TERA

Last Name

GROEBNER

Business Name

MICAH TERA GROEBNER

Original Issue Date

03/20/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021